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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN RICHARD PETERSON, M.D.

Active Sole Proprietor

DR. JONATHAN RICHARD PETERSON, M.D. is a Orthopaedic Surgery healthcare provider located in SALT LAKE CITY, Utah. NPI 1457705386 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1457705386
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2016 (10.35062891074 yrs)
Last Updated
Sep 14, 2022
Licenses
2019-00197 (NC)
6547620-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
24 S 1100 E STE 101
SALT LAKE CITY, UT, 841021562
Browse UT providers · Browse ZIP 84102
Phone
8013556468
Fax
8013553450
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. PETER J NOVAK MD 1104818608
DR. CHRISTOPHER H MARTIN MD 1891787339
RUSSELL L NELSON MD 1285628966
JOHN G SKEDROS MD 1972597730
DR. MICHAEL SHAUN MACHEN M.D. 1366418386
DR. JUNIUS CLAWSON M.D. 1427018761
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.